Altra BSN, RN

Altra is a BSN, RN and specializes in Emergency & Trauma/Adult ICU.

Altra's Latest Activity

1. 

   New Charge Nurse

   Altra replied to Chilled1121's topic in Critical

   Childish, at the very least. If you ask me to change an assignment, the reason better be related to the patient and/or family.
2. 

   WE NEED TO

   Altra replied to luv2's topic in Activism

   Health care is a highly regulated industry, and its administration is highly political. HouTx has excellent suggestions above about the nitty gritty actual work of the political process. Some homework for you: do legislatively-mandated staffing rat...
3. 

   Nurse Creates The Mother Lode of All Advance Directives.

   Altra replied to SmilingBluEyes's topic in Nursing

   Great satire ... if only!
4. 

   "My Nurses"

   Altra replied to HairyMurse's topic in Relations

   Too much being made of nothing. I thought about this for a minute, and can name people in all roles up and down the payscale in my department who use this phrasing: when the unit clerk calls us "my nurses" ... when we refer to "our residents" ... e...
5. 

   Just curious, how many diploma RN's are in the house? Do you intend to further your educat

   Altra replied to middleagedRN's topic in Nursing

   Proud 21st century diploma grad here. I have since completed my BSN.
6. 

   Best one sentence handoff report

   Altra replied to emtb2rn's topic in Emergency

   Awesome. Thanks for reviving a great thread.
7. 

   Dedicated Trauma Nurses in the ED

   Altra replied to Lunah's topic in Emergency

   I have followed this thread with interest. The 2 Level I trauma centers where I have worked both have a dedicated trauma assignment every shift ... but this assignment is rotated among all department RNs who have been in the dept. > 1 year. I bel...
8. 

   New Rule: No work bags allowed in ER

   Altra replied to DarknTwistyERRN's topic in Emergency

   It's totally not for me to dictate what size bag someone brings to/from work ... but I'm having a hard time picturing "educational resources" that I would be responsible to lug back & forth with me every day. References on gtts & IV meds? Sh...
9. 

   Reason for IV fluids

   Altra replied to Matt8700's topic in Emergency

   Are these fluids being ordered after labs have been resulted? The above responses have given a variety of reasons why fluids might be given during a work up, until we have lab evidence of a lack of anything actually clinically wrong with the patient....
10. 

    Why white shoes?

    Altra replied to oldsockventriloquist's topic in Nursing

    Ruby Vee makes an important point above - the standing for long periods of time is what will dictate your shoe choice in the long run. The floors of hospitals and other care facilities are typically some kind of tile over a concrete subfloor - it's ...
11. 

    leaving clinic with Patients still in exam rooms?

    Altra replied to bethburlson's topic in Relations

    OP has given some indication that some of her clinic's patients have been at the hospital for other appointments by the time they arrive at her particular clinic to be seen. I also work at a large tertiary care hospital with virtually every specialty...
12. 

    leaving clinic with Patients still in exam rooms?

    Altra replied to bethburlson's topic in Relations

    OP, it has been hard to follow some of your posts. Are you saying that: 1. You have been the staff member to raise concern about medically fragile patients in your clinic? 2. Clinic management is re-evaluating the practice of providers continuing ...
13. 

    Anyone catch HIV from patients as a Nurse or Nursing student? My biggest fear!

    Altra replied to FutureLPNNursing's topic in Safety

    So, this means that you have read detailed case studies of these nurses, including their social histories and been able to conclude that on the job exposure, of which they do not have a clear memory, is the most likely source of their infection? Some...
14. 

    leaving clinic with Patients still in exam rooms?

    Altra replied to bethburlson's topic in Relations

    We must be reading the OP differently, because I am not sensing this kind of self-aggrandizement in the OP's posts. What I am reading, is a disproportionate worry about leaving the clinic at the end of the workday when there are still patients being ...
15. 

    leaving clinic with Patients still in exam rooms?

    Altra replied to bethburlson's topic in Relations

    Understood. You are correct that medical response to those occurrences is the responsibility of the hospital, if the individuals are on hospital property at the time. However, do not infer that to mean that the clinic, or you personally, are respon...